CALIFORNIA HOME FOR THE AGED, INC.
NPI 1205903176
Skilled Nursing Facility in Fresno, CA

Active since November 29, 2006CLIA 05D0885228 · Waiver
6720 E KINGS CANYON RD, FRESNO, CA 93727(559) 251-8414(559) 251-5766 Get Directions Write a Review

NPPES record last updated: July 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About California Home For The Aged, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALIFORNIA HOME FOR THE AGED, INC. (NPI 1205903176) is a healthcare organization registered as a skilled nursing facility in Fresno, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through April 15, 2028 and lists Yuba Radojkovich, Administrator, as its authorized official.

NPPES Registry Identity

NPI1205903176
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCALIFORNIA HOME FOR THE AGED, INC.
Location Address6720 E KINGS CANYON RDFresno, CA 93727-3603
Mailing Address6720 E Kings Canyon RdFresno, CA 93727-3603 · (559) 251-8414 · Fax (559) 251-5766
Fax(559) 251-5766
Organization SubpartNo
Authorized OfficialYuba RadojkovichAdministrator · (559) 251-8414
Enumeration DateNovember 29, 2006
Last NPPES UpdateJuly 30, 2008
NPI 1205903176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · 040000081
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
6720 E KINGS CANYON RD, Fresno, CA 93727

Other Identifiers 2

Medicare ID-Type Unspecified05-5955CA
MedicaidZZR05955FCA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0885228

California Home For The Aged, Inc Dba California Armenian Home · Fresno, CA
Active · expires Apr 15, 2028
CLIA Number05D0885228
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateApril 16, 2026
Certificate Expiration DateApril 15, 2028
Laboratory DirectorAsha P. Sidhu
Laboratory Phone(559) 251-8414
Laboratory LocationCalifornia Home For The Aged, Inc Dba California Armenian Home6720 E Kings Canyon Rd, Fresno, CA 93727
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
6720 E KINGS CANYON RD
FRESNO, CA 93727

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is California Home For The Aged, Inc.'s NPI number?

The NPI number for California Home For The Aged, Inc. is 1205903176. It was assigned to this organization in the NPPES registry on November 29, 2006.

Where is California Home For The Aged, Inc. located?

California Home For The Aged, Inc. is located at 6720 E Kings Canyon Rd, Fresno, CA 93727. The listed phone number is (559) 251-8414.

What is California Home For The Aged, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does California Home For The Aged, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0885228) is associated with this NPI, valid through April 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for California Home For The Aged, Inc. was last updated on July 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.